@layout("/common/_container.html"){
<div class="ibox float-e-margins">
    <div class="ibox-content">
        <div class="form-horizontal" id="formhorizontal">

            <input type="hidden" id="id" value="">
            <div class="row">
                <div class="col-sm-6">
                <#input id="dotName" name="网点名称" underline="false"/>
                <#input id="contactsName" name="联系人" underline="false"/>
                <#input id="contactsPhone" name="联系号码" underline="false"/>
                    <#select id="settlementType" name="结算方式" underline="false" >
                        <option value="0">当场结</option>
                        <option value="1">月结</option>
                    </#select>
                    注：结算方式可以在实际业务中进行修改调整
                </div>
                <div class="col-sm-6">
                <#select id="proPlaceName" name="省份" underline="false" >
                    <option  value=''>====请选择====</option>"
                    @for(region in regionList){
                    <option value="${region.regionId}">${region.regionName}</option>
                    @}
                </#select>
                <#select id="cityPlaceName" name="城市" underline="false" />
                <#select id="areaPlaceName" name="区/县" underline="false" />
                </div>

            </div>
            <div class="row btn-group-m-t">
                <div class="col-sm-10">
                    <#button btnCss="info" name="提交" id="ensure" icon="fa-check" clickFun="TCooperationDotInfoDlg.addSubmit()"/>
                    <#button btnCss="danger" name="取消" id="cancel" icon="fa-eraser" clickFun="TCooperationDotInfoDlg.close()"/>
                </div>
            </div>
        </div>

    </div>
</div>
<script src="${ctxPath}/static/modular/system/tCooperationDot/tCooperationDot_info.js"></script>
@}
